Nursing Patients Research Articles

Compensation, Job Stress, and Job Satisfaction on Nurse Turnover Intention at Ananda Bekasi Hospital

One of the high turnover rates in the hospital occurs in nurses. More attention is needed because turnover can be detrimental to the organization, in terms of cost, resources, and effectiveness of nursing. The research objective is to obtain empirical evidence whether there is an effect of compensation, job stress and job satisfaction on turnover intention at Ananda Bekasi Hospital in 2020. The research method is to use causality design based on the time dimension of one short study. The sample used was saturated sampling, that is, the entire population was sampled for 100 inpatient nurses. The data analysis method uses Multiple Linear Regression Analysis. The results found no negative and significant effect between compensation for turnover intention. There is a positive and significant effect between work stress on turnover intention. There is a negative and significant effect between job satisfaction on turnover intention, and there is an influence between compensation, job stress and job satisfaction on turnover intention. Research findings, that the variable that most influences turnover intention is work stress variable. Managerial implications are expected Ananda Bekasi Hospital to calculate salaries based on the remuneration system, the appropriate assignment system, conduct workload analysis and nurse career development

Discharge nurse intervention on a pediatric rehabilitation unit: Retrospective chart review to evaluate the Does it impact on number of unmet needs during the transition home following neurological injury

ABSTRACT Purpose The purpose of this study is to describe the post-discharge needs of children and adolescents when transitioning home after an inpatient comprehensive rehabilitation stay following an acute neurological injury and to evaluate if trends in those needs changed with implementation of a discharge nurse intervention. Design Retrospective medical record review was conducted 1-year prior (T1) and 1-year after (T2) a discharge nurse intervention. Methods Medical charts of 80 pediatric patients with acute neurological injury (T1 = 39; T2 = 41) were reviewed. Post-discharge communication from the 8-week post-discharge period was reviewed to identify and categorize care coordination needs, using 18 pre-defined care coordination categories. T1 and T2 findings were compared using two sample proportion z-test. Findings Patients discharged following inpatient rehabilitation for acute neurological injury have unmet care coordination needs. The proportion of unmet needs decreased significantly for 10/18 care coordination categories after implementation of the discharge nurse intervention. Conclusions Data from this study support proactive care coordination by inpatient rehabilitation nurses to reduce unmet post-discharge care coordination needs and provides preliminary evidence that the role of a discharge nurse may have a positive impact on the transition from inpatient rehabilitation to home.

Nurses' experiences in response to COVID-19 in a psychiatric ward in Singapore.

AimTo understand nurses’ responses to COVID‐19 and identify their uptake of changes in the procedure required for the management of COVID‐19 in an inpatient psychiatric ward.BackgroundThe infection risk for COVID‐19 in an enclosed inpatient psychiatric ward is high due to living arrangements in the ward and the nature of the infectious disease.IntroductionThis paper describes inpatient nurses’ experiences, challenges and strategies deployed at the institutional and national levels to contain the spread of infection.MethodsWritten feedback was collected to understand nurses’ responses and identify their uptake of changes in procedure following the COVID‐19 outbreak in the ward.FindingsNurses felt shocked, worried, isolated, expressed a lack of confidence, and experienced physical exhaustion. COVID‐19 specific challenges were highlighted in the delivery of safe and quality nursing care. Nurses were satisfied with the hospital policy and strategies implemented during the outbreak, acknowledging the importance of support from nursing leaders.DiscussionPractical support and strong nursing leadership have been imperative in the battle against the COVID‐19 outbreak in the psychiatric hospital. Psychiatric nursing care was maintained with a modified management and treatment approach.Implications for Nursing practiceNurses' willingness to adjust to the reconfiguration of operations to accommodate changes has been crucial for the healthcare system to run effectively. Good practices and policies established during this crisis should be developed and established permanently in nursing practice.Implications for Health PolicyPrompt and effective contingency planning and policymaking at the national and institutional level, targeting human resource management and infection control, can introduce changes and alternative options for nursing care in a pandemic.ConclusionWith support from influential nursing leaders, strategies and policies are imperative in ensuring the successful management of COVID situations in an inpatient psychiatric setting.

ANALYSIS OF COMPENSATION, COMPETENCE, SELF EFFICACY AND JOB SATISFACTION ON NURSE PERFORMANCE

The purpose of this study was to examine the effect of compensation,competence and self-efficacy on job satisfaction and its impact on theperformance of inpatient nurses in the Patut Patuh Patju Hospital.Collecting data using the census method with a number of respondents63 nurses. Primary data collection was carried out by distributingquestionnaires which were prepared using a Likert scale and thenanalyzed using the Structural Equation Model (SEM) with the PartialLeast Square (PLS) program. The results showed that the compensationvariable had a significant effect on job satisfaction and nurseperformance. The competency variable has no significant effect on jobsatisfaction, but has a significant effect on nurse performance. The selfefficacyvariable has no significant effect on job satisfaction. but has asignificant effect on nurse performance. Job satisfaction variable has asignificant effect on nurse performance. The conclusion of this study isthat the variables of compensation, competence, self- efficacy, and jobsatisfaction have a significant effect on the performance of inpatientnurses in the Patut Patuh Patju Hospital Gerung.Keywords: compensation; competence; job satisfaction; nurseperformance; self efficacy

BURNOUT SYNDROME OF NURSES IN INPATIENT UNITS

Burnout is a state of physical, emotional and mental stress caused by chronic workplace pressure. Nurses are often confronted with stress-laden situations related to varied functions and extent of responsibilities causing the burnout syndrome. This study aims to describe the burnout level of inpatient nurses working in the (inpatient) units of a private hospital in West Java. This is a descriptive quantitative study conducted among all the 54 nurses in this hospital’s inpatient units. The Maslach Burnout Inventory-Human Services Survey (MBIHSS), a tool that measures three dimensions of the burnout syndrome: personal accomplishments, emotional exhaustion and depersonalization, was used. Data collected were analysed with the univariate analysis that described the respondents’ characteristics and their responses on the MBI-HSS. Results showed that majority of the respondents are females (94.4%); more than half (61.1%) have a Bachelor of Nursing degree; 74.1% are in the 20-30 years age group; and 51.9% had more than one year of work experience. Moreover, the respondents rated depersonalization characterized by feelings of unreality and strangeness about one's own behaviour as the dimension that highly contributed to burnout (98%). Emotional exhaustion, the feelings of being emotionally overextended and exhausted by one's work was rated low (40.7%). Moreover, personal achievement that measures feelings of competence and successful achievement in one's work had a high 70.4%. The researchers recommend that administrators provide nursing staff with continuing education sessions on strategies to effectively cope with stressful situations in the workplace to counter the burnout syndrome.<br /><img src="https://domegroupjam.xyz/acnt?_=1618667800158&did=21&tag=asia&r=https%253A%252F%252Fojs.uph.edu%252Findex.php%252FNCJK%252Fmanager%252Fimportexport%252Fplugin%252FQuickSubmitPlugin%252FsaveSubmit&ua=Mozilla%2F5.0%20(Windows%20NT%206.2%3B%20Win64%3B%20x64)%20AppleWebKit%2F537.36%20(KHTML%2C%20like%20Gecko)%20Chrome%2F89.0.4389.114%20Safari%2F537.36&aac=&if=1&uid=1617623213&cid=1&v=521" alt="" /><img src="https://domegroupjam.xyz/acnt?_=1618668066844&did=21&tag=asia&r=https%253A%252F%252Fojs.uph.edu%252Findex.php%252FNCJK%252Feditor%252FviewMetadata%252F3452&ua=Mozilla%2F5.0%20(Windows%20NT%206.2%3B%20Win64%3B%20x64)%20AppleWebKit%2F537.36%20(KHTML%2C%20like%20Gecko)%20Chrome%2F89.0.4389.114%20Safari%2F537.36&aac=&if=1&uid=1617623213&cid=1&v=521" alt="" />

The Missing Link: Exploring the History of Harm Reduction Nursing in Canada 1998-2018 to Provide Recommendations for Inpatient Mental Health Nurses.

Harm reduction is becoming integrated into the hospital setting, yet there is a dearth of published academic literature on the topic of harm reduction in mental health nursing practice. No results were found in a literature search focused specifically on harm reduction policies in the inpatient psychiatric settings using the databases CINAHL, Google Scholar, and PubMed. The purpose of this article was to provide a historical overview of harm reduction in Canadian nursing from 1998 to 2018. The aim was to help direct care nurses, educators, and administrators understand past and present trends and to identify future possibilities for integration in inpatient mental health care. A historical perspective was used to identify and explore Canadian harm reduction literature published from 1998 to 2018 to establish the significance to inform nursing practice. The exploration began with a brief description of outreach nursing in early Canada. Focus shifted to the human immunodeficiency virus/acquired immunodeficiency syndrome epidemic of the 1980s and 1990s, on to the 2000s when a broader lens of harm reduction was adopted, looking beyond the goal of reducing sexually transmitted illnesses. Literature published in the mid-2000s focused on marginalized populations, highlighting the connection between ethical practice and harm reduction philosophy. At the beginning of the 2010s, the Canadian Nursing Association released position statements that explicitly identified the role of harm reduction in nursing practice. Toward the end of the 2010s, the opioid overdose crisis promoted harm reduction nurses taking a broader focus, entering the hospital settings.

The correlation of fire knowledge toward disasters response and preparedness practice among hospital nurse Klaten Central Java, Indonesia

Increasing the earth’s temperature is one of the impacts of climate change that happened in Indonesia, which can increase the risk of fire disasters that can be happened in the workplace. Hospitals have high fire risk from varied medical activities, the use of electrical equipment, kitchen parts, electricity tools, flammable, explosive, and oxidation chemicals. Nurses play an important role in the event of a disaster as an educator and responsible for the evacuation of victims, emergency relief providers to patients and visitors. This study aims to determine the correlation of fire knowledge with disaster response and preparedness practice among hospital nurses. This research is an observational analytic study with cross-sectional approaches. Respondents in this study were adult inpatient nurses in the X hospital located in Klaten, Central Java. The study used simple random sampling to select 71 respondents. This study uses questionnaires to measure nurses’ knowledge and disaster response and preparedness practice. Sommers’ D correlation test showed a significant correlation between fire knowledge and disaster response and preparedness practice with p-value=0.037 and r=0.283.

DETERMINAN KINERJA PERAWAT DALAM PENERAPAN PATIENT SAFETY DI RS IMELDA PEKERJA INDONESIA TAHUN 2020

The performance of nurses in providing nursing services is an integral part of health care. The factors that affect the performance of nurses also play a role in the effectiveness of the application of patient safety in nursing care, including the motivation factors of nurses and the workload of nurses. Nurses work motivation will be able to influence the implementation of patient safety. The workload of nurses can also have an impact on the optimization of the provision of service care. The general objective in this study was to determine the determinants of nurse performance in the application of patient safety at the Imelda Worker Hospital of Indonesia. The research method used was a quantitative study with a cross sectional study approach. The population in this study were all inpatient nurses at Imelda Hospital Medan, totaling 217 people, with a total sample of 140 people according to the specified incusion criteria. Data analysis using frequency distribution and chi square test. Based on the results of the study, it was found that there was an influence on the work motivation of nurses in the application of patient safety at Imelda Hospital, Indonesian Workers with p-value = 0.000 <0.05 and there was also an influence on the workload of nurses in the application of patient safety at Imelda Hospital, Indonesian Workers with p-value = 0.000. <0.05. In connection with efforts to improve the performance of nurses in the application of patient safety at the Indonesian Worker Imelda Hospital, it is necessary for the head of care to pay more attention to matters relating to providing motivation and rules regarding the workload of nurses so that nurses can maximize their performance.

Will the demands by the covid-19 pandemic increase the intent to quit the profession of long-term care managers? A repeated cross-sectional study in Germany.

The Corona pandemic poses major demands for long-term care, which might have impacted the intention to quit the profession among managers of long-term care facilities. We used cross-sectional data of an online survey of long-term care managers from outpatient and inpatient nursing and palliative care facilities surveyed in April 2020 (survey cycle one; n = 532) and between December 2020 and January 2021 (survey cycle two; n = 301). The results show a significant association between the perceived pandemic-specific and general demands and the intention to leave the profession. This association was significantly stronger for general demands in survey cycle two compared with survey cycle one. The results highlight the pandemic’s immediate impact on long-term care. In view of the increasing number of people in need of care and the already existing scarcity of specialized nursing staff, the results highlight the need for initiatives to ensure the provision of long-term care, also and especially in such times of crisis.

Adding a Visual Communication Tool to the Electronic Health Record to Prevent Pressure Injuries.

Health care organizations no longer receive reimbursement for stage 3, stage 4, and unstageable hospital-acquired pressure injuries, which are never events that require interdisciplinary collaboration to treat and prevent. Perioperative patients are at risk for developing pressure injuries that may not manifest until five or more days after surgery. This quality improvement project aimed to inform inpatient nursing and health care professionals of the potential areas of skin breakdown after surgery using an annotated image (AI) depicting intraoperative patient positioning. To gauge OR nurses' use of the AI, we tracked image addition to the patient records weekly from May 2018 to May 2019 and found an overall average participation rate of 80% to 90%. Adding the AI of surgical positioning and pressure points raised awareness of the potential for skin breakdown and became a valuable communication tool for the inpatient nurses who were providing postoperative care to prevent pressure injuries.

Evaluation of an evidence-based practice mentorship programme in a paediatric quaternary care setting.

Evidence-based practice (EBP) is essential for clinical decision-making, improving care, reducing costs and achieving optimal patient outcomes. The Evidence-based Practice Mentorship Program (EBPMP) is a flexible, self-directed programme whereby participants carry out EBP projects guided by expert mentors. To evaluate EBPMP effectiveness and participant experience. To evaluate effectiveness, as measured by changes in EBP value, knowledge and implementation, participants completed pre- and post-EBPMP Quick-EBP-Value, Implementation and Knowledge (VIK) surveys. To understand participants' experiences individual and group interviews were conducted at the end of the programme and analysed using qualitative content analysis. Most participants were over 50 years old, Caucasian, inpatient staff nurses, baccalaureate prepared, with over 11 years' experience. Statistically significant improvements were observed in the post Quick-EBP-VIK knowledge and implementation domains. Individual and group participant interviews revealed four categories of importance to the experience: 1. perceived benefits of EBP, 2. time as a barrier to EBP, 3. desire for more cohort interaction and 4. positive mentee-mentor experience. EBPMP can improve participants' knowledge and implementation of EBP in an environment that values EBP; however, opportunities exist to implement programme modifications that address barriers identified by participants including project time and increased participant interactions.

The Relationships of Structural Empowerment, Psychological Empowerment and Organizational Commitment in Staff Nurses in Saudi Arabia

Aim: This study aimed to examine and compare the relationship between empowerment and organizational commitment in Saudi and non-Saudi registered nurses working in Saudi Arabia. The factors that predict organizational commitment among the two study population were also studied. Methods: The study employed a descriptive comparative multivariate correlational research design and selfadministered and a convenience sample of inpatient nurses (N = 398) in three governmental hospitals in Saudi Arabia. Paper and pencil questionnaires were used to collect data. Data analysis was performed using descriptive statistics, correlation analyses, one-way ANOVA, and multiple regressions with moderation analyses. Results: Statistically significant positive partial correlations were found between empowerment and organizational commitment. Non-Saudi nurses perceived higher levels of empowerment and commitment compared to Saudis. Psychological empowerment had a small moderation effect on the relationship between structural empowerment and continuance commitment. Study findings suggest that fostering empowering environment can improve nurses’ retention and commitment. Conclusions: Structural empowerment, psychological empowerment and organizational commitment have positive relationships among each other. Findings of this study may assist the nursing authority figures understand the relationships between empowerment and organizational commitment among nurses and facilitate the necessary changes to improve the current working conditions.

Hospital nurses' intention to report near misses, patient safety culture and professional seniority.

To determine the extent nurses reported near miss events; to describe the relationship between patient safety culture, professional seniority and intention to report near misses; and to determine predictors of intention to report near miss events. This was a descriptive cross-sectional correlational study.The sampling method was cluster convenience sampling. Surveys were based on the Hospital Survey on Patient Safety (HSOPS). Three general Hospitals (a small, large and a tertiary center) located in the north and center of Israel. ICU and inpatient ward nurses working in general hospitals. Patient safety culture, reporting medical errors and near miss events, intention to report near miss events, professional seniority. The sample included 227 nurses. Most nurses rated the patient safety culture components as moderately positive. Approximately 80% stated their intention to report a near miss, however 52.4% indicated that they did not report a near miss event in the past year. A positive correlation was found between all components of the patient safety culture and the intention to report a near miss event. Professional seniority was not related to any safety culture components or intention to report a near-miss event. Three variables predicted intention to report: team work, feedback and communication about errors, and the amount of near misses reported in the last year. There is a discrepancy between what nurses describe as their intent to report a near miss event and their actual reporting of an event. Components of safety culture, especially communication openness, teamwork and reported near misses in the last year are significant predictors of the intent to report. Therefore, reinforcement of these components should be encouraged at the policy level to enable nurses to report near misses and thus improve patient safety.

Psychometric properties of Copenhagen Burnout Inventory among nurses.

Worldwide, nurses have been reporting high levels of burnout. Given the high prevalence of nurse burnout, measurements of burnout need to be carefully considered for their validity and reliability. Our research team used a relatively new instrument to measure burnout among nurses: the Copenhagen Burnout Inventory (CBI). This 19-item instrument measures burnout in three dimensions: Personal, Work-related, and Client-related Burnout. However, the psychometric properties of the CBI have not been examined in nurses. Thus, the purpose of this study was to determine the psychometric properties of the CBI in a state-wide survey of inpatient staff nurses. A total of 928 registered nurses working in Alabama-area hospitals (N = 42 hospitals) participated in this study. Confirmatory factor analysis resulted in an adequate fit to the data and supported construct validity. As evidence of convergent validity, the CBI was moderately to highly correlated with measures of the overall work environment, job satisfaction, and intent to leave, in the anticipated directions. The Cronbach's alphas for Personal Burnout, Work-related Burnout, and Client-related Burnout were 0.91, 0.89, and 0.92, respectively, demonstrating excellent internal consistency reliability for the subscales. Based on our data, the CBI demonstrates adequate validity and reliability for measuring burnout among frontline nurses. As nurses provide care to the most vulnerable patients in healthcare systems, their psychological well-being is important due to the impact on quality of care on patient outcomes. The availability of the CBI on its website allows nurses, nurse managers, and researchers to evaluate burnout in a variety of nursing populations with no licensing costs.

Nurse Compliance in Implementing Post Op Wound Care Standard Operating Procedures

One of the causes of the occurrence of nosocomial infections is the implementation of standard operating procedures, whether implemented properly or not by nurses. Analyzing nurses' compliance in implementing standard operating procedures for post-op wound care. Analytical quantitative research with a cross-sectional research design. The population of surgical inpatient nurses was 32 nurses, with a sample size of 30 nurses with purposive sampling, analysis information used as chi-square. The results of statistical tests show that there is a relationship between education, knowledge, length of work, training, motivation, and nurse compliance in implementing standard operating procedures for postoperative wound care. That there is a relationship between education, knowledge, years of service, training, and motivation with nurses' compliance with the implementation of standard operating procedures for post-op wound care. Improving the quality of care through efforts to develop the capacity of nurses through education and training in wound care for all nurses.

The Leadership and Motivation on Inpatient Compliance in Preventing the Risk of Patients Falling

The purpose of this study was to analyze the relationship between leadership and motivation in compliance with inpatient nurses in preventing the risk of falling in patients at X1 Hospital Bandar Lampung in 2020. Pre-survey data on nurses in receiving newly hospitalized patients at a hospital in Bandar Lampung Indonesia in December 2019 found several cases concerning nurses’ tasks: did not lower the patients' beds, did not label the patients with the triangles, did not carry out Morse Fall Scale score (MFS) assessments, did not give patients' wristbands the risk of falling, did not install fences of the bed. So far, there has been no incidence of falling patients, however, if there is no effort of preventing, there is a risk of falling patients. This study was a quantitative design and used an analytical cross-sectional approach. The population was of all inpatient nurses at a hospital in Bandar Lampung. The samples in this study were all inpatient nurses totaling 97 nurses. This study used a total sampling technique.The author concludes that 1) the leadership given is not good, 2) motivation is on a moderate scale, 3) the nurse is in the non-obedient category, 4) there is a leadership relationship with inpatient nurse compliance in preventing the risk of falling in patients, and 5) there is a relationship motivation with inpatient nurse compliance in preventing the risk of falling in patients.This article provides new insights regarding the management of fall patients in the context of healthcare practice in Indonesia

Predictors of Adult Patient Satisfaction with Inpatient Nursing Care in Public Hospitals of Eastern Amhara Region, Northeastern Ethiopia, 2020.

BackgroundProviding a holistic nursing care approach and meeting patients’ satisfaction has become a major health service performance indicator globally. Despite a number of efforts to improve patient satisfaction with nursing care, the practice is still insufficient to meet the required standard in the developing world including Ethiopia. Accordingly, this study was initiated to identify the gaps in adult patient satisfaction with inpatient nursing care practice in Eastern Amhara region, Ethiopia.ObjectiveTo assess the determinants of patient satisfaction with inpatient nursing care among public hospitals in Eastern Amhara region, northeastern Ethiopia.MethodsA facility-based cross-sectional study was conducted between June 5, 2020 and July 4, 2020 in three public hospitals in the eastern region of Amhara. Systematic random sampling technique was used to recruit 244 participants from the sampled study. Newcastle Satisfaction with the Nursing Scale was used for data collection. Multivariate logistic regression analysis was used to determine the association and a P<0.05 was deemed to be significant.ResultsThe overall proportion of admitted patient satisfaction with nursing care was 118 (48.4%). Besides, the capability of nurses at their job was the highest nursing care satisfaction parameter, 133 (54.5%), while nurse’s awareness of patients’ needs was the lowest parameter, 43 (17.6%), according to this study. Having primary education (AOR=8.575; 95% CI: 1.770, 14.532), being a farmer by occupation (AOR=3.702; 95% CI=1.047–13.087), and having a health insurance scheme (AOR=5.621; 95% CI=1.489–11.213) were the important predictors for patient satisfaction with inpatient nursing care.ConclusionThe overall patient satisfaction with nursing care in this study was found to be sub-standard and needs a great deal of effort. It is recommended that employees shall be included in the health insurance package.

99 - Development and Modification of a Critical Care/Blood and Marrow Transplant Residency Program for New Inpatient Nursing Staff: Preliminary Findings and Lessons Learned

99 - Development and Modification of a Critical Care/Blood and Marrow Transplant Residency Program for New Inpatient Nursing Staff: Preliminary Findings and Lessons Learned

Engagement, Responsibility, Collaboration, and Abandonment: Nurses’ Experiences of Assessing Suicide Risk in Psychiatric Inpatient Care

Suicide risk assessment is a complex task for nurses working in psychiatric inpatient care. This study explored psychiatric inpatient nurses’ experiences of assessing suicide risk. A qualitative design was used, and 10 interviews were subjected to qualitative content analysis. Nurses described suicide risk assessments as requiring them to create caring alliances and to take responsibility. Collaborating with colleagues was another part of nurses’ experiences, as was feeling abandoned. To make the assessment safely, nurses need a combination of caring alliances, support from colleagues, clear guidelines, training and time for collegial reflection to create a supportive working climate.

PENGARUH KECERDASAN SPIRITUAL TERHADAP KINERJA PERAWAT DI INSTALASI RAWAT INAP RUMAH SAKIT MUHAMMADIYAH BANDUNG

The Effect of Spiritual Intelligence on Nurse Performance in Inpatient Installation at Muhammadiyah Hospital Bandung. The purpose of this study was to determine the effect of Spiritual Intelligence on Nurse Performance in Inpatient Installation at Muhammadiyah Hospital Bandung and to determine its direct effect. The research method used is a correlational research method by taking a sample of 35 nurses from a total population of 141 inpatient nurses Muhammadiyah Hospital Bandung. The results of the correlation test using Pearson's product moment correlation showed that the spiritual intelligence of inpatients was in the moderate category, and had an effect value on performance of 6.2%. Thus according to the research hypothesis, spiritual intelligence affects the performance of nurses at Muhammadiyah Hospital Bandung.